The University of Washington: Facilities Services

Dial-a-Ride Online Request

Dial-a-Ride Online Request Form

All fields are required.


Personal Details
Your name:
Your UW email address:
Your phone number: * Please enter 10 digits.
Crutches Cane Wheelchair Motorized wheelchair Scooter
Other:

Ride Details

To arrange a ride, please indicate your pickup and drop-off locations, and the time at which you must arrive at your destination. You can arrange a ride for a single day by selecting the day of the week and the week of the quarter. If you are arranging a repeat shuttle, choose all the days of the week and all the weeks you need that shuttle.

Ride 1
Pickup:


Other pickup:


Dropoff:


Other dropoff:


Arrival time:

To select multiple items, hold down the control key and then select the days or weeks you desire.

Days:
Week starting:


Ride 2
Pickup:


Other pickup:


Dropoff:


Other dropoff:


Arrival time:



To select multiple items, hold down the control key and then select the days or weeks you desire.

Days:
Week starting:
Ride 3
Pickup:


Other pickup:


Dropoff:


Other dropoff:


Arrival time:

To select multiple items, hold down the control key and then select the days or weeks you desire.

Days:
Week starting:

Additional information (including feedback on this form):


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